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Organization
PEAK PHYSICAL THERAPY AND REHABILITATION LLC
Active
Organization
PEAK PHYSICAL THERAPY AND REHABILITATION LLC
Active
Other names
PEAK PHYSICAL THERAPY & SPORTS MEDICINE CENTER OF ENNIS
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE M DILLARD (DIRECTOR)
(214) 369-8855
Entity
Organization
Contact information
Practice address
2200 PHYSICIANS BLVD, STE D, ENNIS, TX 75119
(972) 878-1200
(972) 878-1202
Mailing address
2200 PHYSICIANS BLVD, STE D, ENNIS, TX 75119
(972) 878-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086SL
BCBS
TX
05
—
206202801
—
TX
Enumeration date
07/14/2009
Last updated
06/21/2010
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